Optimize benefits and minimize costs withsolutions that serve
From initial consultation to ongoing performance and post-analysis, our solutions empower clients to confidently navigate the complexities of pharmacy with clarity, precision, and proven results.
Pharmacy Consulting Services
We combine contract integrity with clinical expertise, ensuring your members get the right medications, first and foremost, at the best price.
- Pharmacy Diagnostic to help understand what is currently driving pharmacy spend and how to manage it better.
- Pharmacy Directorship where Ethica becomes an extension of your HR team for year-long support.
Custom RFP Services
Our Custom RFP Services put transparency first, ensuring you control vendor selection and contract terms — not hidden alliances. While others push the same PBMs, we stay vendor-agnostic, delivering unbiased insights and real-time repricing analysis that digs deeper than industry norms.
Auditing Services
Verify accuracy. Resolve discrepancies. Maximize your savings.
- Discount Validation Audits analyze 100% of annual Rx claims to verify that PBMs apply the correct discounts and dispensing fees to ensure pricing aligns with contract terms.
- Rebate Contract Audits help validate the accuracy of Manufacturer Rebates on your plan design attributes
Implementation Support
We guide PBM transitions with oversight, contract negotiation, and weekly calls to ensure smooth membership transfer, accurate plan design, and correct coding. Our services also include pre-implementation audits and test claims to ensure seamless integration and accuracy, providing peace of mind throughout the process.
Analytics and Reporting
Our analytics service stands out with quarterly dashboards that track PBM contract performance, giving clients continuous insights into how their partner is performing against agreed terms. We provide ongoing reporting that goes beyond the standard annual review, ensuring you’re always informed and empowered.
Success Stories
Discover how our clients have achieved their goals with our support. These real-world stories highlight the challenges they faced, the solutions we provided, and the results that followed.
Smart strategies tailored to your market
Our in-house experts understand your market and tailor strategies for your unique needs. Combine that with a cutting-edge technology engine that uncovers implications upfront and applied intelligence that delivers real-time insights and you have bespoke benefit solutions like no other.
Employers
Optimizing pharmacy spend is table stakes in our world. A benefits partner with true clinical acumen is something else entirely.
Payors and Providers
Our expert guidance helps you navigate the complexities of the pharmacy benefits landscape with a focus on your success, not external interests.
Coalitions
Forget about conflicts of interest. At Ethica, we offer unbiased expertise to help coalitions navigate the complexities of the pharmacy benefits space.
Brokerages
You don’t have to hire a PharmD to keep your brokerage lean and agile – not when you have Ethica.